Individual
KAITLIN CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
Mailing address
1525 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1831
(786) 774-0748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN260075
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN260075
GA
Other
Enumeration date
06/29/2021
Last updated
11/15/2022
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